1.やさしい
A patient who has not eaten for 2 days has ketones in the urine. What is the most likely reason?
- AThe kidneys are leaking protein
- BThe bladder has a bacterial infection
- CThe liver is making too much glucose
- DThe body is burning fat for energy
2.やさしい
Why is AST less specific for liver damage than ALT?
- AAST is also found in heart and skeletal muscle
- BAST is made by the bone marrow, not the liver
- CAST is not measured in the blood at all
- DAST is found only in the kidney tubules
3.やさしい
A raised lymphocyte count is most typical of:
- AAllergic asthma
- BIron deficiency
- CViral infections
- DBacterial abscesses
4.ふつう
A patient with sickle cell disease takes hydroxyurea. Which laboratory test is monitored regularly for an adverse effect?
- AComplete blood count
- BUrine ketone level
- CSerum lithium level
- DSerum amylase level
5.ふつう
A pregnant woman's blood type is O Rh-negative, and her antibody screen (indirect Coombs test) is negative. What is usually offered at about 28 weeks?
- ADaily oral iron and folic acid supplements only
- BA transfusion of group O Rh-positive red cells
- CAnti-D immunoglobulin (Rho(D) immune globulin)
- DAn IV dose of vitamin K given for the fetus
6.ふつう
A patient taking empagliflozin (an SGLT2 inhibitor) has glucose in the urine but a normal blood glucose. What is the best interpretation?
- AA sign of kidney failure
- BA urinary tract infection
- CUncontrolled diabetes needing insulin
- DAn expected effect of the drug
7.むずかしい
A patient's total calcium is 7.6 mg/dL and the albumin is 2.0 g/dL. Using the common correction (add 0.8 mg/dL for each 1 g/dL that albumin is below 4.0), what is the corrected calcium?
- A9.2 mg/dL, within the normal range
- B11.6 mg/dL, above the normal range
- C7.6 mg/dL, below the normal range
- D6.0 mg/dL, well below the normal range
8.むずかしい
鉄欠乏性貧血に最も典型的な結果の組み合わせはどれですか?
- Aヘモグロビンの低下、小さな赤血球(低 MCV)、低フェリチン
- B高ヘモグロビンと高ヘマトクリット
- Cヘモグロビンの低下、大きな赤血球(高 MCV)、高フェリチン
- Dヘモグロビンは正常で、血小板数のみ高い
解答
- 1. D · The body is burning fat for energy
- 2. A · AST is also found in heart and skeletal muscle
- 3. C · Viral infections
- 4. A · Complete blood count
- 5. C · Anti-D immunoglobulin (Rho(D) immune globulin)
- 6. D · An expected effect of the drug
- 7. A · 9.2 mg/dL, within the normal range
- 8. A · ヘモグロビンの低下、小さな赤血球(低 MCV)、低フェリチン
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